Dupristle, Genesis

Dupristle, Genesis is an individual health care provider with primary practice located at 3771 San Jose Pl Suite 22, Jacksonville FL 32257. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Dupristle, Genesis can be contacted via phone (904) 928-0112.

Contact Information

Primary practice address
3771 San Jose Pl Suite 22 Jacksonville FL 32257
Phone: (904) 928-0112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1124443254
LBN Legal business name Dupristle, Genesis
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2014
Last updated May 31st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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